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ICD-10 Coding for Abnormal Movements(G25.9, R25.8)

Complete ICD-10-CM coding and documentation guide for Abnormal Movements. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Involuntary MovementsMovement Disorders

Related ICD-10 Code Ranges

Complete code families applicable to Abnormal Movements

G25-G26Primary Range

Other extrapyramidal and movement disorders

This range includes codes for various movement disorders, including those induced by drugs.

Symptoms and signs involving the nervous and musculoskeletal systems

This range includes codes for unspecified abnormal movements when no definitive diagnosis is available.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G25.9Extrapyramidal and movement disorder, unspecifiedUse when abnormal movements are due to a known drug or treatment.
  • Documentation of causative agent
  • Presence of extrapyramidal symptoms
R25.8Other abnormal involuntary movementsUse when movements are idiopathic or unspecified.
  • Absence of a definitive diagnosis
  • No drug or treatment-related cause

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for drug-induced abnormal movements

Essential facts and insights about Abnormal Movements

The ICD-10 code for drug-induced abnormal movements is G25.9, used with additional codes for the specific drug.

Primary ICD-10-CM Codes for abnormal movement

Extrapyramidal and movement disorder, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of drug-induced symptoms

documentation Criteria

  • Causative drug and symptoms documented

Applicable To

  • Drug-induced movement disorders

Excludes

  • Parkinson's disease (G20)

Clinical Validation Requirements

  • Documentation of causative agent
  • Presence of extrapyramidal symptoms

Code-Specific Risks

  • Incorrectly coding as idiopathic when drug-induced

Coding Notes

  • Ensure documentation specifies the drug and symptoms for accurate coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Adverse effect of antipsychotics

T43.595A
Use with G25.9 when movements are due to antipsychotic drugs.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other abnormal involuntary movements

R25.8
Use R25.8 when no causative agent is identified and movements are idiopathic.

Extrapyramidal and movement disorder, unspecified

G25.9
Use G25.9 when movements are drug-induced.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Abnormal Movements to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.9.

Impact

Clinical: Misrepresentation of clinical condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always document drug details, Review notes for completeness

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use G25.9 with appropriate T codes for drug-induced cases.

Impact

Incorrect coding of drug-induced movements as idiopathic.

Mitigation Strategy

Ensure thorough documentation of causative agents.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Abnormal Movements, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Abnormal Movements

Use these documentation templates to ensure complete and accurate documentation for Abnormal Movements. These templates include all required elements for proper coding and billing.

Drug-Induced Movement Disorder

Specialty: Neurology

Required Elements

  • Type of movement
  • Causative drug
  • Duration of exposure
  • Functional impact

Example Documentation

Patient exhibits choreiform movements after starting metoclopramide. Documented as G25.9 with T45.4x5A.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Abnormal movements noted.
Good Documentation Example
Choreiform movements observed after 3-week course of haloperidol.
Explanation
The good example specifies the type of movement and causative agent.

Need help with ICD-10 coding for Abnormal Movements? Ask your questions below.

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